NPIMap

Organization Active NPI

Divine Keepers Homecare Services LLC

  • In Home Supportive Care Agency
  • Pooler, GA
National Provider Identifier
1609447143
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE KEEPERS HOMECARE SERVICES LLC
Practice address
103 Tappan Zee Dr
Pooler, GA 31322-9440
Phone
(843) 333-0213
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Turkessa MoodyNPI 1417557661
Title
Owner
Phone
(843) 333-0213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

103 Tappan Zee Dr
Pooler, GA 31322-9440

Mailing address

103 Tappan Zee Dr
Pooler, GA 31322-9440
Phone (843) 333-0213

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1609447143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TAPPAN ZEE DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229440",
            "telephone_number": "843-333-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TAPPAN ZEE DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229440",
            "telephone_number": "843-333-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE KEEPERS HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "TURKESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-333-0213"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.